| NPI | 1275783037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K. WHITE Director 817-469-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX J4607) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |